Anthem Blue Cross and Blue Shield New Hampshire prior authorization 78453

Anthem Blue Cross and Blue Shield New Hampshire prior authorization for 78453: Myocardial perfusion imaging, planar (including qualitative or quantitative wall motion, ejection fraction by first pass or gated technique, additional quantification, when performed); single study, at rest or stress (exercise or pharmacologic)

Code: 78453
Description: Myocardial perfusion imaging, planar (including qualitative or quantitative wall motion, ejection fraction by first pass or gated technique, additional quantification, when performed); single study, at rest or stress (exercise or pharmacologic)
Source: New Hampshire Precertification List, Pg 153 Original policy

Anthem Blue Cross and Blue Shield New Hampshire prior authorization

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